Emergency Department Admissions for Dental & Oral Health Concerns in Rural Northwestern Pennsylvania

Abstract

Background: Oral health emergency department (ED) visits are increasing nationally. This increase in ED admissions is an indicator that preventative dental and oral healthcare practices are not being utilized. Methods: Data was obtained from the Meadville Medical Center. Fourteen ICD-9 codes for dental and oral health admissions over 10 years were categorized and analyzed. Data was graphed to illustrate trends over time and the chi-square test of independence was used to determine associations between admissions types and demographic characteristics. Results: ED admissions for dental and oral health issues were most common among individuals age 19-38 years. Most individuals admitted to the ED for these concerns paid with private medical insurance or were uninsured. The categorization of ICD-9 codes allowed us to see that ED use for structural and soft-issues decreased at the end of the decade under study. However, admissions for infections and dental caries increased over time. Conclusions: The opening of a free dental clinic in 2011 might be associated with the decrease in overall admissions for dental and oral health concerns as well as soft tissue and structural admissions. The increase in ED admissions for dental caries and infections illustrates that more affordable and preventative dental and oral health care and education are need.

Seasonality of ER Admissions in Northwestern Pennsylvania: A Cross-Sectional Study

“…For each ER admission we specifically assessed more detailed information, such as the ICD-9 code, sex, insurance, race, age and date, time and year of admission. The MMC is a non-profit community hospital located in northwestern Pennsylvania and serves a population composed in its majority of residents from the Crawford County, PA. Crawford County is a rural community located 90 miles north of Pittsburgh, PA and 40 miles south of Erie, PA [46].…”

Understanding Emergency Room Visits for Nontraumatic Oral Health Conditions in a Hospital Serving Rural Appalachia: Dental Informatics Study

“…Over the past few years, dental care has increasingly shifted from dental offices to emergency departments, with a more significant portion of dental visits occurring in EDs [ 14 ]. ER use for dental problems is on the rise, and most visits are for nontraumatic dental conditions (NTDCs) [ 15 , 16 ]. It is harder to get good dental care in Appalachia, especially in WV, which encompasses some of the country’s poorest and most remote communities.…”